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Dr. Thaddeus Manczko, MD
Emergency Medical Services (Emergency Medicine) Physician in Kankakee, Illinois
NPI 1073553004

Thaddeus Manczko is a Emergency Medical Services (Emergency Medicine) Physician based in Ann Arbor, IL and is specialized in Emergency Medical Services. Thaddeus Manczko practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Thaddeus Manczko is 1073553004 and holds a License No. 036-100560 (Illinois).

The current practice location address for Thaddeus Manczko is 350 N Wall St, Kankakee, IL and can be reached out via phone at 815-933-1671.

Location: 350 N Wall St, Kankakee, IL, 48105-1598
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Provider Profile Details
NPI Number
1073553004
Provider Name
Thaddeus Manczko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 N Wall St, Kankakee, IL, 48105-1598
Phone Number
815-933-1671
Fax Number
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036100560-7 05 IL
institution
Provider Business Practice Location Address Details
Address
350 N Wall St
City
State
Zip
60901-2901
Phone Number
815-933-1671
Fax Number
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Provider Business Mailing Address Details
Address
350 N Wall St
City
State
Zip
60901-2901
Phone Number
815-933-1671
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
License No.
036-100560 (Illinois)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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